Shannon F Small, MD in Springfield, IL - Medicare General Surgery

Shannon F Small, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Springfield, Illinois. She went to Wake Forest University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 800 E Carpenter St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 757-6570.

Shannon F Small is licensed to practice in Illinois (license number 036143686) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932360161.

Contact Information

	Shannon F Small, MD
	800 E Carpenter St, Springfield, IL 62702-5324
	(217) 757-6570
	(217) 757-6573

Map and Direction

Physician's Profile

Full Name	Shannon F Small
Gender	Female
Speciality	General Surgery
Experience	16 Years
Location	800 E Carpenter St, Springfield, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon F Small attended and graduated from Wake Forest University School Of Medicine in 2008

NPI Data:

NPI Number: 1932360161
Provider Enumeration Date: 06/20/2008
Last Update Date: 01/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1355581018
Enrollment ID: I20210723002918

Medical Identifiers

Medical identifiers for Shannon F Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932360161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	0101249001 (Virginia)	Secondary
2086S0102X	Surgery - Surgical Critical Care	036143686 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ns/lij Hs Southside Hospital	Bay shore, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon F Small allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon F Small is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shannon F Small, MD 800 E Carpenter St, Springfield, IL 62702-5324 Ph: (217) 757-6570	Shannon F Small, MD 800 E Carpenter St, Springfield, IL 62702-5324 Ph: (217) 757-6570

Reviews and Comments

Surgery Doctors in Springfield, IL

Dr. Emily Catherine Sturm, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 315 W Carpenter St Fl 2, Springfield, IL 62702 Phone: 217-545-8000
Mark Kuhnke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 N 1st Street, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7543
Teah Qvavadze, MD Surgery Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1622
Dr. Krista Michelle Bonney, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Dr. Emmanuel Ifeanyichukwu Ohaa, MBCHB, MPH Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D308, Springfield, IL 62702 Phone: 217-545-4401 Fax: 217-545-1793
Dr. Melanie Lynne Barnard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D308, Springfield, IL 62702 Phone: 217-545-4401 Fax: 217-545-2586
Dr. Fillip Komornik, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St # D346, Springfield, IL 62702 Phone: 217-545-8444

Shannon F Small, MD - Medicare General Surgery in Springfield, IL